Lipovetskiy, Boris
Lipovetskiy, Boris is an individual health care provider with primary practice located at 104 Se 1St St , Fort Lauderdale FL 33301-1924. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lipovetskiy, Boris can be contacted via phone (954) 525-5662.Contact Information
Primary practice address
104 Se 1St St
Fort Lauderdale FL 33301-1924
Phone: (954) 525-5662
Fax: (954) 525-5251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18645 | Massachusetts |
Profile Details
| NPI number | 1629113808 |
|---|---|
| LBN Legal business name | Lipovetskiy, Boris |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Oct 26th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629113808 | NPPES |
| Massachusetts | MEDICAID | 0278238 |
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